INSTRUCTION
Course Package
MEA 131
MEDICAL CODING II
(CPT/HCPCS)
PRESENTED FEBRUARY 3, 2012
EFFECTIVE FALL 2012-13
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Prefix & Number MEA 131
Course Title: Medical Coding II- CPT/HCPCS
Purpose of this submission:
New
Change/Updated
Retire
If this is a change, what is being changed?
Update Prefix
Course Description
Splitting the current MEA 140 into two classes.
Title
Course Number
Currently students need to complete 31 chapters
Format Change
Credits
in a 16 week course. This will not be possible with
Prerequisite
Competencies
the new ICDICD-1010-CM conversion.
Textbook/Reviewed Competencies-no changes
needed
Does this course require additional fees?
No
Yes If so, please explain.
Is there a similar course in the course bank?
No
Yes (Please identify)
Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona?
No
Yes (Identify the college, subject, prefix, number and title:
Is this course identified as a Writing Across the Curriculum course?
No
Yes
Course Textbook, Materials and Equipment
Textbook(s)
Current
edition
Software/
Equipment
Title
Author(s)
Publisher
Step by Step Medical Coding
Carol Buck
Saunders
Title
Author(s)
Publisher
Step by Step Medical Coding Workbook
Carol Buck
Saunders
Current edition of CPT-4, HCPCS, ICD-10 (9)-CM manuals
Course Assessments
Description of Possible Course Assessments (Essays, multiple choice,
etc.)
Exams standardized for this course?
Midterm
Final
Other (Please specify):
Where can faculty members locate or access the required standardized
exams for this course? (Contact Person and Location)
Example: NCK – Academic Chair Office
Student Outcomes: Identify the general education goals for student
learning that is a component of this course.
MCC Form EDU 0007 (rev. 10/07/11)
Frequent quizzes and/or exams are highly
encouraged to assess the student’s
comprehension. Quizzes and exams may be
given in any format, while keeping in mind that
the certification exam is in a multiple choice
format. Practical exams are also encouraged to
assess the student’s ability to perform skills
required to function within the medical facility.
Are exams required by the department?
No
Yes
If Yes, please specify:
Instructors may write their own quizzes and/or
exams which assess the student’s mastery of
the competencies for this course
INSTRUCTION
Course Package
Check all that apply:
1. Communicate effectively.
a.
b.
Method of Assessment
Selection of proper codes
Read and comprehend at a college level.
Write effectively in a college setting.
2. Demonstrate effective quantitative reasoning and
problem solving skills.
Homework, exams, CMS-1500 work
3. Demonstrate effective qualitative reasoning skills.
Homework, exams, CMS-1500 work
4. Apply effective methods of inquiry.
a. Generate research paper by gathering information
from varied sources, analyzing data and organizing
information into a coherent structure.
b. Employ the scientific method.
5. Demonstrate sensitivity to diversity
a. Experience the creative products of humanity.
b. Describe alternate historical, cultural, global
perspectives.
Office of Instruction Use only:
CIP Code:
ONET Code:
Minimum Qualifications:
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
COURSE INFORMATION
Initiator: Lori Hogue, Lori Howell, Carol Elledge
Date of proposal to Curriculum Sub-Committee: February 3, 2012
Effective Semester/Year
Fall 2012
Spring
Summer
Prefix & Number: MEA 131
Full Title: (100 character limit)
Medical Coding II
Short Title: (30 character limit)
Catalog Course Description: Provides a continuation of the MEA 140 course of medical coding using
CPT-4, ICD-10 (9)-CM and HCPCS manuals and insurance reports as applied to the medical office. This
course emphasizes the CPT-4 and HCPCS codes used for procedure coding within the medical facility.
SUN Course Number:
Credit Hours: 3.0
Lecture Hours: 3.0
Lab Hours: 0.0
Prerequisite(s) HES 113, HES 129, MEA 140, TRE 089, PCS 021 or Appropriate COMPASS score
Co-requisite(s) MEA 130
Intended Course Goals
By the end of the semester, students will be able to:
1. Apply basic anatomy and physiology to coding procedures in the medical office
2. Recognize the purpose and roles of the coding process in the medical field
3. Properly identify the different purpose of the CPT-4, ICD-10 (9)-CM, and the HCPCS codebooks
4. Apply appropriate codes to corresponding documents
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Course Competencies and Objectives
By the end of the semester, students will be able to:
Competency 1 Discuss the purpose and organization of the CPT manual
Objective 1.1 Identify the uses of the CPT manual
Objective 1.2 Articulate the importance of using the current year CPT-4 manual
Objective 1.3 Recognize the symbols used in the CPT-4 manual
Objective 1.4 List the major sections found in the CPT Manual
Objective 1.5 Interpret the information contained in the section guidelines and notes.
Objective 1.6 Identify placement of CPT codes on the CMS-1500 forms
Objective 1.7 Identify and describe the text change symbols used in the CPT manual
Objective 1.8 Distinguish between professional and facility services.
Objective 1.9 Describe what is meant by unlisted procedures/services
Objective 1.10 state the purposes of a special report
Objective 1.11 Review Category II and III CPT codes.
Objective 1.12 Locate the terms in the CPT index.
Objective 1.13 List the major features of Level II National Codes, HCPCS
Objective 1.14 Demonstrate the ability to assign HCPCS codes
Competency 2 Demonstrate an understanding of the coding process using Modifiers
Objective 2.1 Recognize and understand the purpose of Modifiers
Objective 2.2 Assign Increased Procedural Services modifier-22
Objective 2.3 Assign Unusual anesthesia modifier-23
Objective 2.4 Assign Unrelated E/M Services by the Same Physician During a Postoperative Period modifier-24
Objective 2.5 Assign Significant Separately Identifiable E/M Service by the Same Physician on the Same Day of the
Procedure of Other Service modifier-25
Objective 2.6 Assign Professional Component modifier-26
Objective 2.7 Assign Mandated Services modifier-32
Objective 2.8 Assign Anesthesia by Surgeon modifier-47
Objective 2.9 Assign Bilateral Procedures modifier-50
Objective 2.10 Assign Multiple Procedures modifier-51
Objective 2.11 Assign Reduced Services modifier-52
Objective 2.12 Assign Discontinued Procedure modifier-53
Objective 2.13 Assign Surgical Care Only modifier-54
Objective 2.14 Assign Postoperative Management Only modifier-55 and Preoperative Management Only modifier-56
Objective 2.15 Assign Decision for Surgery modifier-57
Objective 2.16 Assign Staged or Related Procedure or Service by the Same Physician during the Postoperative Period
modivier-58
Objective 2.17 Assign Distinct Procedural Service modinier-59
Objective 2.18 Assign Two Surgeons modifier-62
Competency 3 Identify and explain the three factors of E/M code assignment
Objective 3.1Differentiate between a new and an established patient
Objective 3.2 Differentiate between and inpatient and an outpatient
Objective 3.3 Explain levels of E/M service
Objective 3.4 Review the Key Components and Analyze the Key Component history and examination
Objective 3.5 Analyze the Key Component medical decision making
Objective 3.6 List contributory factors
Objective 3.7 Analyze code information and the types of E/M codes
Objective 3.8 Identify CMS Documentation Guidelines
Objective 3.9 Demonstrate the ability to code E/M services
Competency 4 Demonstrate ability to report anesthesia services
Objective 4.1 Define types of anesthesia
Objective 4.2. Explain the format of the Anesthesia section and subsections
Objective 4.3 Understand the anesthesia formula.
Objective 4.4 Identify other reporting issues
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Competency 5 Accurately Understand the Surgery section format
Objective 5.1 Locate notes and Guidelines in the Surgery section
Objective 5.2 State the use of the unlisted procedure codes
Objective 5.3 Interpret elements of a special report
Objective 5.4 Examine the separate procedure designation
Objective 5.5 Analyze the contents of a surgical package
Objective 5.6 Determine the contents of the General subsection
Competency 6 Describe the formant of the Integumentary System in the CPT manual
Objective 6.1 Identify the elements of coding Skin, Subcutaneous, and Accessory Structures services
Objective 6.2 Review the main services in Nails, Pilonidal Cyst and Introduction
Objective 6.3 Identify the major factors in Repair
Objective 6.4 State the important coding considerations in destruction and breast procedures
Objective 6.5 Demonstrate the ability to code integumentary services and procedures
Competencies 7 Accurately demonstrate the ability to code musculoskeletal services and procedures.
Objective 7.1 Understand types of traction
Objective 7.2 Identify services/procedures included in the General subheading
Objective 7.3 Analyze cast application and strapping procedures
Objective 7.4 Understand elements of arthroscopic procedures
Competency 8 Differentiate between services reported with codes from the Respiratory subsection and those reported with
codes from other subsections
Objective 8.1 Explain the effects of extent and approach when reporting endoscopy respiratory procedures
Objective 8.2 Identify highlights of nasal procedure coding
Objective 8.3 Analyze the codes to report services to the accessory sinuses
Objective 8.4 Categorize the codes in the Larynx subheading
Objective 8.5 Explain the structure of the trachea/bronchi codes
Objective 8.6 Distinguish the difference amongst the codes assigned to report lungs and pleura services, and
procedures
Objective 8.7 Demonstrate the ability to code respiratory services and procedures
Competency 9 Accurately apply cardiovascular services reported with codes from the Surgery, Medicine, and Radiology
sections
Objective 9.1 Review cardiovascular coding terminology.
Objective 9.2 Recognize the major differences in the subheadings of the Cardiovascular subsection
Objective 9.3 Define rules of coding cardiovascular services when using codes from the Medicine section
Objective 9.4 Identify the major rules of coding cardiovascular services using the Radiology section codes.
Objective 9.5 Demonstrate ability to code Cardiovascular services
Competency 10 Demonstrate the ability to code Hemic and Lymphatic System services
Objective 10.1 Review the Hemic and Lymphatic Systems subsection format
Objective 10.2 Understand the Hemic and Lymphatic Systems subheadings
Objective 10.3 Review the format of the Mediastinum and Diaphragm subsection codes.
Objective 10.4 Understand the Mediastinum and Diaphragm information
Objective 10.5 Demonstrate the ability to code Mediastinum and diaphragm services
Competency 11 Accurately report procedures of the abdomen, peritoneum, and omentum
Objective 11.1 Understand the format of the Digestive System subsection
Objective 11.2 Report procedures of the lips
Objective 11.3 Report procedures of the vestibule of the mouth
Objective 11.4 Report procedures of the tongue and floor of the mouth
Objective 11.5 Report procedures of the dentoalveolar structures
Objective 11.6 Report procedures of the palate and uvula
Objective 11.7 Report procedures of the salivary gland and ducts
Objective 11.8 Report procedures of the pharynx, adenoids, and tonsils
Objective 11.9 Report procedures of the esophagus, stomach, and intestines (except rectum)
Objective 11.10 report procedures of the Meckel’s diverticulum and mesentery
Objective 11.11 Report procedures of the appendix, rectum, anus, liver, biliary tract and pancreas
Competency 12 Understand the format and codes of the Urinary System subsection
Objective 12.1 Review the subheadings and categories of the Urinary System subsection
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Objective 12.2Report services with Urinary System codes
Objective 12.3 Understand the format and codes of the Male Genital System subsection
Objective 12.4 Review the subheadings and categories of the Male Genital System subsection
Objective 12.5 Report services with Make Genital System codes
Competency 13 Accurately demonstrate the ability to code the Female Genital and Maternity Care and Delivery subsection
Objective 13.1 Describe reproductive services
Objective 13.2 Report intersex surgery services
Objective 13.3 Identify elements of component coding with Female Genital System codes
Objective 13.4 define the critical terms in maternity and delivery services
Objective 13.5 Define services in the global maternity and delivery package
Objective 13.6 Understand the format of the Maternity Care and Delivery subsection services
Competency 14 Accurately demonstrate the ability to code Endocrine and Nervous System services
Objective 14.1 Review the Endocrine System subsection format
Objective 14.2 Understand the Endocrine System subheadings
Objective 14 3 Review the Nervous System subheadings
Objective 14.4 Understand the Nervous System subheadings
Competency 15 Accurately demonstrate the ability to code Eye and Ocular Adnexa, and Auditory System services
Objective 15.1 Review the Eye and Ocular Adnexa subsection
Objective 15.2 Understand the Eye and Ocular Adnexa subheadings
Objective 15.3 Review the Auditory System subsection format
Objective 15.4 Understand the Auditory system services
Objective 15.5 Review reporting use of an operating microscope
Objective 15.6 Demonstrate the ability to report the use of an operating microscope
Competency 16 Accurately demonstrate the ability to code Radiology services and procedures
Objective 16.1 Demonstrate an understanding of Radiology terminology
Objective 16.2 Analyze the elements of component coding in reporting Radiology services
Objective 16.3 Identify elements of the global procedure
Objective 16.4 State the appropriate coding of contrast material
Objective 16.5 Explain the format of the Radiology section
Competency 17 Accurately demonstrate the ability to code Pathology and Laboratory services
Objective 17.1 Explain the format of the Pathology and Laboratory section
Objective 17.2 Understand the information in the Pathology and Laboratory Guidelines
Objective 17.3 Demonstrate an understanding of Pathology and Laboratory terminology
Objective 17.4 Differentiate amongst the Organ or Disease Oriented Panels codes
Objective 17.5 Recognize Drug Testing codes
Objective 17.6 Identify Therapeutic Drug Assays codes
Objective 17.7 Classify Evocative/Suppression Testing codes
Objective 17.8 Explain Consultations (Clinical Pathology) codes
Objective 17.9 Interpret Urinalysis and Chemistry codes
Objective 17.10 Evaluate Hematology and Coagulation codes
Objective 17.11 Describe Immunology codes
Objective 17. 12 Discriminate amongst Transfusion Medicine codes
Objective 17.13 Interpret Microbiology codes
Objective 17.14 Evaluate Anatomic Pathology codes
Objective 17.15 Summarize Cytopathology and Cytogenic Studies codes
Objective 17.16 Explain surgical Pathology codes
Objective 17.17 Choose Other Procedures codes
Competency 18 Accurately report medical services using Medicine section codes
Objective 18.1 Analyze the format of the Medicine section
Objective 18.2 Report Psychiatric services
Objective 18.3 Identify biofeedback services
Objective 18.4 List components of dialysis reporting
Objective 18.5 demonstrate ability to report gastrointestinal services
Objective 18.6 Understand ophthalmology and otorhinolaryngologic reporting
Objective 18.7 Report cardiovascular services
MCC Form EDU 0007 (rev. 10/07/11)
INSTRUCTION
Course Package
Objective 18.8 Identify services reported with pulmonary codes
Objective 18.9 List the important elements of coding allergy and clinical immunology services
Objective 18.10 Report endocrine services
Objective 18.11 Define neurology and neuromuscular services
Objective 18.12 Demonstrate an understanding of central nervous system assessment and intervention
Objective 18.13 Analyze chemotherapy services
Objective 18.14 Report special services and dermatologic procedures
Objective 18.15 Code physical medicine and rehabilitation services
Objective 18.16 Report active wound management
Objective 18.17 Define osteopathic and chiropractic services
Objective 18.18 Understand non-face-to-face services
Objective 18.19 Code special services, procedures and reports.
Competency 19 Explain the differences between inpatient and outpatient coding
Objective 19.1 Define principal diagnosis and procedure
Objective 19.2 Examine the Official Guidelines for Coding and Reporting
Objective 19.3 Review the Guidelines for Selection of a Principal Diagnosis
Objective 19.4 Determine when a condition should be reported as an additional diagnosis
Objective 19.5 Explain the purpose of the present on admission indicators
Objective 19.6 Examine the ICD-10-PCS system
MCC Form EDU 0007 (rev. 10/07/11)